CAJ | 학술논문

背景:研究发现骨水泥渗漏大多与椎体成形治疗椎体压缩性骨折中椎体静脉回流相关.目的:分析胸腰段椎体血管分布规律,为施行椎体成形治疗时预防骨水泥渗漏提供理论依据.方法:选择100例胸腰段压缩性骨折患者,其中T11椎体骨折组30例,T12椎体骨折组17例,L1椎体骨折组25例,L2结果与结论:各组椎体血管沟角度分布差异无显著性意义,表明椎体间血管沟走向及安全区范围相对恒定.各组椎体平均高度、椎弓根平均高度和血管沟平面占椎体的平均高度差异无显著性意义,表明椎弓根位于椎体的上2/3,血管沟所在位置相对恒定于椎弓根的上2/3.提示胸腰段椎体都有相对恒定的安全区范围,椎体成形治疗时改善穿刺角度且穿刺至安全区可减少骨水泥渗漏.椎体骨折组28例,术前CT检查观察及测量椎体血管沟角度分布、安全区位置、血管沟所处于椎体内的位置.
배경:연구발현골수니삼루대다여추체성형치료추체압축성골절중추체정맥회류상관.목적:분석흉요단추체혈관분포규률,위시행추체성형치료시예방골수니삼루제공이론의거.방법:선택100례흉요단압축성골절환자,기중T11추체골절조30례,T12추체골절조17례,L1추체골절조25례,L2결과여결론:각조추체혈관구각도분포차이무현저성의의,표명추체간혈관구주향급안전구범위상대항정.각조추체평균고도、추궁근평균고도화혈관구평면점추체적평균고도차이무현저성의의,표명추궁근위우추체적상2/3,혈관구소재위치상대항정우추궁근적상2/3.제시흉요단추체도유상대항정적안전구범위,추체성형치료시개선천자각도차천자지안전구가감소골수니삼루.추체골절조28례,술전CT검사관찰급측량추체혈관구각도분포、안전구위치、혈관구소처우추체내적위치.
@@@@BACKGROUND: According to the research, bone cement leakage has been mostly connected with vertebral venous return in the vertebroplasty treatment for vertebral compression fractures. OBJECTIVE: To analyze the vascular distribution of the thoracolumbar vertebral body, providing the theoretical basis for the prevention of bone cement leakage during the implementation of vertebroplasty. METHODS: There were 100 vertebral compression fracture patients, 30 of whom with T11 vertebra fracture,17 with T12 vertebra fracture, 25 with L1 vertebra fracture, and 28 with L2 RESULTS AND CONCLUSION: There was no significant difference in the distribution of venous grooves of the four groups. The data indicated that the course of venous grooves and the scope of safe zone among the vertebral body remained relatively constant. No statistical difference was noted in the average height of vertebra, vertebral pedicle or venous grooves plane in the vertebra, giving evidence that vertebral pedicle lies in the top 2/3 of the vertebra and venous grooves lies in the top 2/3 of the vertebral pedicle. There were constant safe zones in the thoracolumbar vertebral body. Improving the angle of puncture during the implementation of vertebroplasty contributes to the decrease of bone cement leakage. with CT before operation to detect the distribution of venous grooves, the position of safe zone and venous grooves in the vertebra.